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l <br /> ELECTRIGAL PER11111T �►PPLICATION <br /> �:ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REFT, EVERE7T, WA 98201 u "� �`"�� <br /> 425-257-8810 - FAX 425-2:i7-8657—w�vw.evaretlwa.org <br /> E�2a�f �os(o <br /> APPLICATIONS AI2E ACCEI>TED FROM 8 AM 70 4 PM <br /> ��c ,Z L o���-�4yt�� �/ <br /> PROJECT ADORESS /�s <br /> ,�So,2 �S,�Z <br /> �l/f/'Il'_�"/T C'l5�1/n��6f` 7�� �l/'�.�.f�,L�6 ,So� �} G <br /> Al2J"1.�£L____._ <br /> Owner Mall Address '- <br /> Cily Stalvi>Ip i�honc <br /> Teil�nl MdilAtldresa Cily ^.— SWIo/lip ..—. � �� Nhonc <br /> c�L,��,(/�-1 f.��_s x .I�4v��:—_��.��..�J���e•� �S q �� <br /> EleC�t'ic:fl Contfactor �vlall AJdress Cily Slale/Zlp Phun� <br /> � �tr I S'/yZ� P ySc' � ciL <br /> State License Numbor Cpn(ract Price of WUrk <br /> �������� _ <br /> Proposed Uso of Buildiit(� Conla�l Persmt (plan Revicw) <br /> Descriptiono(warktol3eUon�: I�(,�S%� C1���2ci� aGv��� �,�. -� L.�7�_ _ _ <br /> N07E: WIRINO IN NON-pWELLINGS 1S RE�UIRED 70 FEF � � �� <br /> BE IN RAGEWAYS. MC ORAC CABLE. � � <br /> �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby cenily thar!have raad and exemined this epplica0on and know(ha semv to Le Irue nnA <br /> con�ecL AIl pmvislons ollaws and oMlnences,qovorning thls fype vl wolic will Le completc�d .�� ZO�-I-- ��� <br /> whethei specf!!ed heiein or not The gien�'ng ol a permd doas nof prc.;ume to give authonty fu <br /> violato orcencel tho provisiuns ol eny other s(ate urlocel low regulatfng constn�c(!an ortho <br /> porfonnanco o/construcfion. 1'haf I em aufhnrized by t7ie owner ol Ihl:,proporry to perlorm 1he <br /> worh Inr wh/ch epplrc2lion is nlede end!comply with Ihe St.�fe Contrr�rfors Luw i6.27 RCW aud <br /> 296.2U0 WAC. <br /> ire —,_._-. , Da/�1.�- �.�_—.. <br /> I <br /> V5b = 0L Zi-Zi--ad`d <br /> i0 ' d <br />